|
AUTHORIZATION TO RELEASE INFORMATION
Federal Department of Transportation regulations require motor carriers to obtain information about a driver applicant's background. The information Wiest Truck Line, Inc. is required to obtain includes a verification of your employment dates, information about any accidents or citations you may have had, and drug and/or alcohol test results.
The purpose of this release is to permit your previous employer(s) to release information about you to Wiest Truck Line, Inc.. The release also allows us to obtain a motor vehicle record from the state which has issued your drivers license. And finally, the release allows us to obtain a record of your physical qualification examination.
If you are interested in employment with Wiest Truck Line, Inc., please complete the application and sign the release statement below and return the application to us.
I hereby authorize the release of all information regarding my previous employment, my physical qualifications to operate a commercial motor vehicle, and my motor vehicle driving record. This release permits both written and oral information to be released to Wiest Truck Line, Inc. I further release the providers of such information from any and all liability as a result of providing said information.
Applicant's Signature __________________________________________ Date ____________________
Applicant's Printed Name ________________________________________________________________
Witnessed By (Signature) _________________________________________________________________
Back Home
|
|
